30 Reports
Inspection Report — Mar 30, 2026
Complaint Investigation
Date: Mar 30, 2026
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On-site complaint investigation of complaint 00163426 at an Assisted Living Center, conducted 30 March 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00163426 conducted on March 30, 2026.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Feb 27, 2026
Complaint Investigation
Date: Feb 27, 2026
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On-site complaint investigation of complaints 00160148 and 00160376 at an Assisted Living Center, conducted 27 February 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00160148 and 00160376 conducted on February 27, 2026.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Jan 28, 2026
Complaint Investigation
Date: Jan 28, 2026
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On-site complaint investigation of complaints 00157240 and 00157241 at an Assisted Living Center, conducted 28 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00157240 and 00157241 conducted on January 28, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Jan 15, 2026
Enforcement
Date: Jan 15, 2026
Visit Reason
Civil monetary penalty, action 00150768 (invoice INV-313582), assessed 15 January 2026.
Findings
A $750.00 penalty was assessed and paid in full on 15 January 2026.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Jan 15, 2026
Complaint Investigation
Date: Jan 15, 2026
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On-site complaint investigation of complaints 00153012, 00155407, and 00155989 at an Assisted Living Center, conducted 15 January 2026.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00153012, 00155407, and 00155989 conducted on January 15, 2026.
Findings
The inspection found one deficiency related to delayed staff response to call button alerts, resulting in a resident fall with head injury and bruising. The facility was addressing equipment interference issues causing slow response times.
Deficiencies (1)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm due to slow staff response to call button alerts, resulting in a fall with head injury and bruising. The facility was working to remedy the problem by implementing new communication equipment.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 13, 2025
Complaint Investigation
Date: Nov 13, 2025
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On-site complaint investigation of complaint 00150377 at an Assisted Living Center, conducted 13 November 2025.
Complaint Details
The following deficiency was found during the on-site investigation of complaint 00150377 conducted on November 13, 2025.
Findings
The inspection found one deficiency involving the failure to immediately report suspected abuse as required by Arizona law. This deficiency posed a risk to the physical health and safety of a resident and was a repeat from a prior inspection.
Deficiencies (1)
R9-10-803 — The manager failed to immediately report suspected abuse according to A.R.S. § 46-454, posing a risk to resident health and safety. Documentation and investigation reports of the alleged abuse were not available.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 22, 2025
Complaint Investigation
Date: Oct 22, 2025
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On-site complaint investigation of complaints 00148393 and 00148385 at an Assisted Living Center, conducted 22 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00148393 and 00148385 conducted on October 22, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 20, 2025
Complaint Investigation
Date: Oct 20, 2025
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On-site complaint investigation of complaints 00147750 and 00147752 at an Assisted Living Center, conducted 20 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00147750 and 00147752 conducted on October, 20, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 9, 2025
Complaint Investigation
Date: Oct 9, 2025
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On-site complaint investigation of complaints 00147201 and 00147196 at an Assisted Living Center, conducted 9 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00147201 and 00147196, conducted on October 9, 2025
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 8, 2025
Date: Oct 8, 2025
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Off-site desktop review to modify services from 145 Directed Care to 30 Directed Care and 115 Personal Care at an Assisted Living Center, conducted 8 October 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Oct 6, 2025
Complaint Investigation
Date: Oct 6, 2025
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On-site complaint investigation of complaints 00142273, 00144797, and 00144806 at an Assisted Living Center, conducted 1 October 2025 with an off-site documentation review on 6 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00142273, 00144797, and 00144806 conducted on October 1, 2025, and the off-site documentation review on October 6, 2025.
Findings
No deficiencies were found during this inspection.
Inspection Report — Aug 25, 2025
Complaint Investigation
Date: Aug 25, 2025
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On-site complaint investigation of complaints 00140807 and 00142102 at an Assisted Living Center, conducted 25 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00140807 and 00142102 conducted on August 25, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Jul 29, 2025
Complaint Investigation
Date: Jul 29, 2025
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On-site complaint investigation of complaints 00137792 and 00137807 at an Assisted Living Center, conducted 29 July 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00137792 and 00137807 conducted on July 29, 2025:
Findings
The inspection found one deficiency related to inadequate safeguards preventing unauthorized access to resident medical records.
Deficiencies (1)
R9-10-811 — The manager failed to ensure safeguards existed to prevent unauthorized access to resident medical records, allowing access without authentication to sensitive resident information.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 25, 2025
Complaint Investigation
Date: Jul 25, 2025
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On-site complaint investigation of complaints 00132210 and 00133328 at an Assisted Living Center, conducted 25 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00132210 and 00133328 conducted on July 25, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Jul 23, 2025
Complaint Investigation
Date: Jul 23, 2025
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On-site complaint investigation of complaints 00136545, 00137105, and 00137355 at an Assisted Living Center, conducted 23 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00136545, 00137105, and 00137355 conducted on July 23, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jul 1, 2025
Complaint Investigation
Date: Jul 1, 2025
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On-site complaint investigation of complaint 00134838 at an Assisted Living Center, conducted 1 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00134838 conducted on July 1, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Jun 30, 2025
Enforcement
Date: Jun 30, 2025
Visit Reason
Civil monetary penalty, action 00131611 (invoice INV-283560), assessed 30 June 2025.
Findings
A $1,000.00 penalty was assessed and paid in full on 30 June 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Jun 26, 2025
Complaint Investigation
Date: Jun 26, 2025
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On-site complaint investigation of complaints 00134451 and 00134494 at an Assisted Living Center, conducted 26 June 2025.
Complaint Details
An on-site complaint investigation for 00134451 and 00134494 was conducted on June 26, 2025 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Apr 16, 2025
Annual Inspection
Date: Apr 16, 2025
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On-site complaint investigation of complaints 00126438, 00121932, 00121525, 00109272, and 00104831 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 15-16 April 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00126438, 00121932, 00121525, 00109272, and 00104831 conducted on April 15, 2025 - April 16, 2025.
Findings
This inspection found ten deficiencies related to failure to report suspected abuse, incomplete tuberculosis screening documentation for staff and residents, lack of resident dignity in care, inadequate exit alert systems, improper medication administration and storage, incomplete evacuation drill documentation, insufficient documentation of emergency incidents, and unsafe storage of potentially harmful items. Plans of correction were provided for all deficiencies.
Deficiencies (10)
R9-10-803 — The manager failed to report suspected abuse, neglect, or exploitation of a resident as required by A.R.S. § 46-454 after having a reasonable basis to believe it occurred.
R9-10-806 — The manager failed to ensure that six of ten personnel provided evidence of freedom from infectious tuberculosis before beginning services, posing a potential illness risk.
R9-10-807 — The manager failed to ensure six of ten residents provided evidence of freedom from infectious tuberculosis within seven days of occupancy, and required screening documentation was missing.
R9-10-810 — The manager failed to ensure a resident was treated with dignity and respect, as evidenced by unclean conditions and delayed care after a bowel accident.
R9-10-815 — The manager failed to ensure that exits from the secured memory care unit had a means to control or alert employees of resident egress, posing a risk to resident safety.
R9-10-816 — The manager failed to ensure medication was administered in compliance with a medication order for one resident, risking a change in condition due to improper administration.
R9-10-816 — The manager failed to ensure medication was stored in a separate locked area used only for medication storage, risking resident safety.
R9-10-818 — The manager failed to maintain evacuation drill documentation for at least 12 months and omitted identification of residents needing assistance or not evacuated.
R9-10-818 — The manager failed to document actions taken, individuals notified, and preventive measures after a resident's emergency requiring medical services.
R9-10-819 — The manager failed to ensure the premises were free from conditions that could cause physical injury, including unsafe storage of personal care items and equipment.
Report Facts
Deficiencies cited: 10
Complaints investigated: 5
Inspection Report — Dec 5, 2024
Complaint Investigation
Date: Dec 5, 2024
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On-site complaint investigation of complaints AZ00219205 and AZ00219066 at an Assisted Living Center, conducted 5 December 2024.
Complaint Details
An on-site investigation of complaints AZ00219205 and AZ00219066 was conducted on December 05, 2024 and the following deficiency was cited.
Findings
The inspection found one deficiency related to medication administration not being in compliance with medication orders. The facility failed to ensure medications were administered according to orders, posing a risk to residents.
Deficiencies (1)
The manager failed to ensure medications were administered in compliance with medication orders, including administering Ondansetron to a resident before an order was in place and administering Losartan despite the resident's low blood pressure. This deficient practice posed a risk of harm due to improper medication administration.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 15, 2024
Complaint Investigation
Date: Nov 15, 2024
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On-site complaint investigation of complaint AZ00218785 at an Assisted Living Center, conducted 15 November 2024.
Complaint Details
An on-site investigation of complaint AZ00218785 was conducted on November 15, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Oct 1, 2024
Complaint Investigation
Date: Oct 1, 2024
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On-site complaint investigation of complaints AZ00216055 and AZ00216775 at an Assisted Living Center, conducted 1 October 2024.
Complaint Details
An on-site investigation of complaints AZ00216055 and AZ00216775 was conducted on October 1, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to incomplete written service plans and missing documentation of services provided in residents' medical records.
Deficiencies (2)
The manager failed to ensure that a resident had a written service plan that included the level of service the resident was expected to receive for two of four residents sampled. This posed a risk as the service plan did not reinforce and clarify services to be provided.
The manager failed to ensure the caregiver documented the services provided in the resident's medical record for three of four residents reviewed. This posed a risk as services could not be verified as provided against a service plan.
Report Facts
Deficiencies cited: 2
Inspection Report — Apr 23, 2024
Enforcement
Date: Apr 23, 2024
Visit Reason
Civil monetary penalty, action 00111362 (invoice INV-258124), assessed 23 April 2024.
Findings
A $2,000.00 penalty was assessed and paid in full on 24 May 2024.
Report Facts
Penalty amount: 2000
Amount paid: 2000
Amount remaining: 0
Inspection Report — Mar 6, 2024
Annual Inspection
Date: Mar 6, 2024
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On-site complaint investigation and annual compliance inspection of complaints AZ00201384, AZ00201758, AZ00202036, AZ00203012, AZ00206459, AZ00206624, and AZ00206711 at an Assisted Living Center, conducted 5-6 March 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00201384, AZ00201758, AZ00202036, AZ00203012, AZ00206459, AZ00206624, and AZ00206711 conducted on March 5-6, 2024:
Findings
The inspection found eight deficiencies related to service plan reviews, signatures, vaccination documentation, resident assessments, call systems, safety hazards, and soiled linen storage. Several deficiencies were repeats from prior inspections, indicating ongoing compliance issues.
Deficiencies (8)
The manager failed to ensure that three of seven sampled residents receiving personal care services had their written service plans reviewed and updated at least once every six months, posing a health and safety risk.
The manager failed to ensure that two of three sampled residents receiving directed care services had their written service plans reviewed and updated at least once every three months, posing a health and safety risk.
The manager failed to ensure six of ten sampled residents' written service plans were signed and dated by the resident or representative, the manager, and the nurse or medical practitioner who reviewed the plan as required.
The manager failed to ensure a resident's medical record contained documentation of notification of the availability of influenza and pneumonia vaccinations for one of three sampled residents residing more than 12 months, posing a health and safety risk.
R9-10-814 — The manager failed to ensure that for one of two sampled residents unable to ambulate even with assistance, a medical practitioner signed a determination that the resident's needs were being met at acceptance and at least every six months, posing a health and safety risk.
The manager failed to ensure that a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in the bedrooms of four sampled residents receiving directed care services, posing a safety risk.
The manager failed to ensure the premises and equipment were free from conditions that may cause physical injury. Observed bedrails and pillows posed fall and injury risks to residents.
The manager failed to ensure soiled linen was stored in closed containers away from the kitchen, posing a health risk.
Report Facts
Deficiencies cited: 8
Complaints investigated: 7
Inspection Report — Sep 27, 2023
Complaint Investigation
Date: Sep 27, 2023
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On-site complaint investigation of complaint AZ00198295 at an Assisted Living Center, conducted 27 September 2023.
Complaint Details
An on-site investigation of complaint AZ00198295 was conducted on September 27, 2023 and no deficiency was cited.
Findings
No deficiencies were found during this complaint investigation.
Inspection Report — May 2, 2023
Enforcement
Date: May 2, 2023
Visit Reason
Civil monetary penalty, action 00113410 (invoice INV-259738), assessed 2 May 2023.
Findings
A $750.00 penalty was assessed and paid in full on 7 July 2023.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
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